TY  - JOUR
A1  - Maurer, Stefanie
A1  - Prinz, Vincent Matthias
A1  - Qasem, Lina-Elisabeth
A1  - Lucia, Kristin Elizabeth
A1  - Rösler, Judith
A1  - Picht, Thomas
A1  - Konczalla, Jürgen
A1  - Czabanka, Marcus Alexander
T1  - Evaluation of a novel three-dimensional robotic digital microscope (Aeos) in neurosurgery
T2  - Cancers
N2  - Objective: Current literature debates the role of newly developed three-dimensional (3D) Exoscopes in the daily routine of neurosurgical practice. So far, only a small number of cadaver lab studies or case reports have examined the novel Aesculap Aeos Three-Dimensional Robotic Digital Microscope. This study aims to evaluate the grade of satisfaction and intraoperative handling of this novel system in neurosurgery. Methods: Nineteen neurosurgical procedures (12 cranial, 6 spinal and 1 peripheral nerve) performed over 9 weeks using the Aeos were analyzed. Ten neurosurgeons of varying levels of training were included after undergoing device instruction and training. Following every surgery, a questionnaire consisting of 43 items concerning intraoperative handling was completed. The questionnaires were analyzed using descriptive statistics. Results: No intraoperative complications occurred. Surgical satisfaction was ranked high (78.95%). In total, 84.21% evaluated surgical ergonomics as satisfactory, while 78.95% of the surgeons would like to use this system frequently. Image quality, independent working zoom function and depth of field were perceived as suboptimal by several neurosurgeons. Conclusion: The use of Aeos is feasible and safe in microsurgical procedures, and surgical satisfaction was ranked high among most neurosurgeons in our study. The system might offer advanced ergonomic conditions in comparison to conventional ocular-based microscopes.
KW  - Exoscope
KW  - operating microscope
KW  - microsurgery
KW  - ergonomics
Y1  - 2021
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/62651
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-626511
SN  - 2072-6694
VL  - 13
IS  - 17; art. 4273
SP  - 1
EP  - 14
PB  - MDPI
CY  - Basel
ER  -